Ruggieri P, Biagini R, Ruggieri N, Pavone S, Bungaro P
I Clinica Ortopedica-Istituto Ortopedico Rizzoli, Bologna.
Chir Organi Mov. 1991 Jul-Sep;76(3):209-15.
Out of 142 consecutive cases of fracture of the tibial plateau 48 cases (34%) of complex fractures are taken into consideration. Surgical treatment is based on two types of osteosynthesis: 1) osteosynthesis "of election" with interfragmentary plates and screws, which was used in most of the cases; 2) minimal osteosynthesis with Barr or lag screws, when there are lesions of the soft tissue and capsuloligamentous lesions. A total of 69% of the results were satisfactory (good and excellent). The most unfavorable prognostic factors are comminution of the fracture and residual widening of the tibial plateau.
在142例连续的胫骨平台骨折病例中，48例（34%）为复杂骨折。手术治疗基于两种类型的骨固定术：1）大多数病例采用的带有骨折块间钢板和螺钉的“优选”骨固定术；2）在存在软组织损伤和关节囊韧带损伤时采用的使用Barr螺钉或拉力螺钉的微创骨固定术。总共有69%的结果令人满意（良好和优秀）。最不利的预后因素是骨折粉碎和胫骨平台残留增宽。
